Transvaginal combined with transabdominal oocyte retrieval in IVF/ICSI cycle: a case report
10.3760/cma.j.cn101441-20200828-00463
- VernacularTitle:IVF/ICSI促排卵周期经阴道取卵联合经腹部取卵1例病例报道
- Author:
Yuan ZHANG
1
;
Guoxiang HE
1
;
Li SHU
1
;
Wei WU
1
;
Jie HUANG
1
;
Yundong MAO
1
;
Xiang MA
1
Author Information
1. 南京医科大学第一附属医院/江苏省人民医院生殖医学科，南京 210029
- Publication Type:Journal Article
- Keywords:
Fertilization in vitro;
Embryo transfer;
Oocyte retrieval;
Transabdominal
- From:
Chinese Journal of Reproduction and Contraception
2022;42(4):399-401
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To improve the technique of oocyte retrieval in in vitro fertilization/intracytoplasmic sperm injection-embryo transfer (IVF/ICSI-ET) cycles and reduce the cancellation rate of IVF/ICSI cycle. Methods:The clinical data of a case of IVF/ICSI cycle using transvaginal combined with abdominal oocyte retrieval was reported.Results:The right ovary of one infertile patient who received ICSI due to male factors was not detected repeatedly by transvaginal ultrasound during ovulation induction. The right lower abdominal pain occurred day 5 after using gonadotropin. We considered that the position of the right ovary was high due to pelvic adhesion after previous appendectomy, and was further confirmed by abdominal ultrasound. Two mature oocytes were obtained from the left and right ovaries respectively. Four embryos were obtained after ICSI insemination, and biochemical pregnancy occurred after transplantation.Conclusion:Transabdominal ultrasound-guided oocyte retrieval is relatively safe and effective, and can obtain similar clinical outcomes as conventional transvaginal ultrasound-guided oocyte retrieval. For IVF/ICSI women with difficulty in obtaining oocytes through vagina, transabdominal ultrasound-guided oocyte retrieval can be tried. During IVF/ICSI treatment cycles, it is necessary to improve the quality of medical history inquiry, pre-cycle evaluation, ovulation induction monitoring, oocyte retrieval and embryo transfer.
